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ABA Therapy Group in Texas
- Challenge: 42% claim denial, slow follow-up, untrained front desk staff
- Solution: Daily billing, denial resolution, virtual assistant for patient calls
Want results like these to Call Us? +1 505-903-2759
Results in 90 Days
Psychiatric Practice – California
Client Profile
- Type: Solo Psychiatrist (Telehealth-based)
- Location: Los Angeles, CA
- Services Used: RCM + Insurance Verification
- Platform: Simple Practice
Challenges
- Incomplete insurance verification before sessions
- Monthly revenue stuck around $18,000
- Denials for TMS and Spravato treatments due to coding issues
- Delayed posting of ERAs & payments
Solution
- Verified benefits 48 hours before each session
- Cleaned up CPT/HCPCS codes specific to TMS/Spravato
- Automated ERA downloads & payment posting
- Weekly denial analysis and provider education
Results
|
Metric
|
Before
|
After (90 Days)
|
|---|---|---|
|
Revenue
|
$18,000/month
|
$28,600/month
|
|
Denial Rate
|
24%
|
4.50%
|
|
Claims Paid Within 14 Days
|
32%
|
84%
|
|
Unbilled Sessions
|
16/month
|
1/month
|
ABA Therapy Group in Texas
Challenge: 42% claim denial, slow follow-up, untrained front desk staff
Solution: Daily billing, denial resolution, virtual assistant for patient calls
Want results like these? [Schedule a Call]
Results in 90 Days
Psychiatric Practice – California
Client Profile:
Type: Solo Psychiatrist (Telehealth-based)
Location: Los Angeles, CA
Services Used: RCM + Insurance Verification
Platform: Simple Practice
Challenges
- Incomplete insurance verification before sessions
- Monthly revenue stuck around $18,000
- Denials for TMS and Spravato treatments due to coding issues
- Delayed posting of ERAs & payments
Solution:
- Verified benefits 48 hours before each session
- Cleaned up CPT/HCPCS codes specific to TMS/Spravato
- Automated ERA downloads & payment posting
- Weekly denial analysis and provider education
Results
|
Metric
|
Before
|
After (90 Days)
|
|---|---|---|
|
Revenue
|
$18,000/month
|
$28,600/month
|
|
Denial Rate
|
24%
|
4.50%
|
|
Claims Paid Within 14 Days
|
32%
|
84%
|
|
Unbilled Sessions
|
16/month
|
1/month
|
ABA Therapy Group – Florida
- Type: 10-Provider ABA Therapy Group
- Location: Orlando, FL
- Services Used: Full RCM + Admin VA Support
- Platform: Therapy Notes
Challenges
- In-house staff overwhelmed with claim backlog
- Missed calls and poor client scheduling
- Prior authorizations delayed treatment
- Insurance aging over 60 days
Solution
- Dedicated VA for all incoming calls and scheduling
- Authorization team handling all requests within 24–48 hrs
- Shifted to daily billing & AR follow-up
- Built patient responsibility tracker
Results in 90 Days
|
Metric
|
Before
|
After (90 Days)
|
|---|---|---|
|
Average Days in AR
|
58 days
|
19 days
|
|
Monthly Collections
|
$42000
|
$64700
|
|
Authorization Turnaround
|
7–10 days
|
2–3 days
|
|
Scheduling No-Show Rate
|
12%
|
3%
|
ABA Therapy Group – Florida
Client Profile:
Type: 10-Provider ABA Therapy Group
Location: Orlando, FL
Services Used: Full RCM + Admin VA Support
Platform: TherapyNotes
Challenges:
- In-house staff overwhelmed with claim backlog
- Missed calls and poor client scheduling
- Prior authorizations delayed treatment
- Insurance aging over 60 days
Solution:
- Dedicated VA for all incoming calls and scheduling
- Authorization team handling all requests within 24—48 hrs
- Shifted to daily billing & AR follow-up
- Built patient responsibility tracker
Results
|
Metric
|
Before
|
After (90 Days)
|
|---|---|---|
|
Average Days in AR
|
58 days
|
19 days
|
|
Monthly Collections
|
$42000
|
$64700
|
|
Authorization Turnaround
|
7–10 days
|
2–3 days
|
|
Scheduling No-Show Rate
|
12%
|
3%
|
Licensed Therapist – New York
Client Profile
- Type: Solo LCSW
- Location: Brooklyn, NY
- Services Used: Virtual Assistant Only ($1,500/mo)
- Platform: Simple Practice
Challenges
- Constantly missing patient calls
- Poor follow-ups on canceled/rescheduled sessions
- Therapist spending 2-3 hours a day on admin tasks
- Missed revenue due to unpaid copays
Solution
- Assigned one VA to answer all calls and manage the calendar
- Daily email and text reminders to patients
- VA called clients with unpaid balances weekly
- Provided filll support 6 days/week
Results
|
Metric
|
Before
|
After (90 Days)
|
|---|---|---|
|
Time Spent on Admin (per day)
|
2.5 hrs/day
|
20 mins/day
|
|
Weekly Patient Calls Answered
|
65% answered
|
98% answered
|
|
Missed Revenue from Copays
|
$950/month
|
$100/month
|
|
Appointment Retention Rate
|
78%
|
92%
|
Licensed Therapist – New York
Client Profile:
Type: Solo LCSW
Location: Brooklyn, NY
Services Used: Virtual Assistant Only ($1,500/mo)
Platform: Simple Practice
Challenges:
- Constantly missing patient calls
- Poor follow-ups on canceled/rescheduled sessions
- Therapist spending 2—3 hours a day on admin tasks
- Missed revenue due to unpaid copays
Solution:
- Assigned one VA to answer all calls and manage the calendar
- Daily email and text reminders to patients
- VA called clients with unpaid balances weekly
- Provided filll support 6 days/week
Results
|
Metric
|
Before
|
After (90 Days)
|
|---|---|---|
|
Time Spent on Admin (per day)
|
2.5 hrs/day
|
20 mins/day
|
|
Weekly Patient Calls Answered
|
65% answered
|
98% answered
|
|
Missed Revenue from Copays
|
$950/month
|
$100/month
|
|
Appointment Retention Rate
|
78%
|
92%
|